FEDERAL AND STATE CRIMINAL DEFENSE ATTORNEYS
O'Brien Hatfield, PA GET YOUR FREE CASE REVIEW GET YOUR FREE CASE REVIEW Text Us Now
Tampa 813-345-4909 | En Español 813-390-2494
Orlando / Miami / West Palm Beach - 888-496-5916

Health care fraud sentence

A Florida physician who was charged with health care fraud has been sentenced to a year in prison. The 60-year-old physician must also pay more than $1 million in restitution and $1,134,000 in fines. The court mandated that more than $1 million must be forfeited to the federal government. She must also serve three years under a supervised release and perform 1,200 hours of community service. She was convicted of 162 counts of health care fraud.

The doctor owned and operated various medical business like the Hawthorne Medical Center. She used false billing schemes to defraud Medicaid, Medicare and Blue Cross Blue Shield of Florida. The woman and her staff bought drugs not approved by the United States Food and Drug Administration at low rates and gave these drugs to patients while billing insurance companies for the FDA-approved drugs. She also sought reimbursement for false diagnosis codes and unnecessary tests.

The physician also wanted insurance payments for counseling, training and treatment that was never performed. She billed smoking-cessation treatments to patients who did not smoke. Many agencies were involved in uncovering and investigating this case, including the Federal Bureau of Investigation, Florida Attorney General's Medicaid Fraud Control Unit, the Internal Revenue Service and the FDA.

Health care fraud is a type of white-collar crime that could come with penalties like prison time and fines. Charges might be filed for alleged activities like double billing, falsifying invoices or performing unnecessary procedures. Government organizations or programs may be involved like Medicare or Medicaid, which could result in a federal case. The health care industry involves complex rules and regulations. Billing errors can occur, but not all of them constitute fraud. People who are facing these types of charges might want to discuss their situation with a criminal defense attorney.

No Comments

Leave a comment
Comment Information
Mark J. O'Brien's cases have been featured in:
The New York Times | The Miami Herald | Bay News 9 | abc 7 | The Boston Globe | USA Today | Tampa Bay Times | FOX News Channel | The Washington Post | abc Good Morning America | Chicago Tribune | NT News Talk Florida | St. Petersburg Times | Deadspin
“Mark, thank you for everything. I will forever be indebted to you. You have stood by me and believed in me when it was not the popular thing to do. You are an amazing advocate.” Adam Filthaut
  • Former Partner at the Law Firm of Adams and Diaco (Robert Adams and Stephen Diaco)
  • MJ (Todd Schnitt) Morning Show/Bubba the Love Sponge Clem Trial
  • Attorney Phil Campbell DUI Setup/Florida Bar Trial
More Testimonials
American Association for Justice National Association of Criminal Defense Lawyers | NACDL 1958 Florida Association of Criminal Defense Lawyers | FACDL Super Lawyers AVVO | See Reviews LC | Lead Counsel Rated
Best Criminal
Defense Lawyers
in Orlando
2018